Flexible tubular liner coating system

ABSTRACT

Flexible tubular liner coating systems are described herein. A method for coating and forming the flexible tubular inner liner may comprise, in one example, coating at least a first surface of a flexible elongate strip having a first and a second edge and then bringing the first and second edges of the flexible elongate strip into proximity of one another. Once the edges are brought towards one another, they may be joined such that a flexible tubular liner is formed having the coated first surface formed as an inner surface of the flexible tubular liner. Flexible tubular liner coating systems are described herein. A method for coating and forming the flexible tubular inner liner may comprise, in one example, coating at least a first surface of a flexible elongate strip having a first and a second edge and then bringing the first and second edges of the flexible elongate strip into proximity of one another. Once the edges are brought towards one another, they may be joined such that a flexible tubular liner is formed having the coated first surface formed as an inner surface of the flexible tubular liner.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No.11/245,538 filed Oct. 6, 2005, now U.S. Pat. No. 7,520,950, issued Apr.21, 2009, which is incorporated by reference in its entirety.

BACKGROUND OF THE INVENTION Field of the Invention

The present invention relates to systems for coating and forming aflexible tubular liner for use in an elongate instrument. Moreparticularly, the present invention relates to systems for coating andforming a thin-wall flexible tubular liner from flat strips for use inan elongate instrument.

The use of the endoscope for examining the interior of the intestinaltract is well-known. A complete examination typically requires thephysician to advance the endoscope into the colon, negotiate the sigmoidcolon, and left and right colic flexures up to the cecum. Otherpreviously-known apparatus and methods use an overtube having variablerigidity, so that the overtube may be inserted through curved anatomy ina flexible state, and then selectively stiffened to resist bendingforces generated by passing a colonoscope through the overtube.

Once the procedure is finished, the endoscope or overtube is typicallysterilized for reuse in another patient. One method for maintainingsterility of the instrument involves positioning an inner liner within aworking lumen of the instrument and an outer liner over an outer surfaceof the instrument such that the device is completely encapsulated andprevented from directly contacting a patient. The inner liner, inparticular, is typically covered with a coating, e.g., a hydrophiliccoating, over its inner surface to facilitate the passage of tools orinstruments through the liner.

However, manufacturing and coating thin-walled tubular liners which areflexible is particularly difficult. Such liners can be typicallyextruded from a polymeric material to a desired length; however,applying a coating to the liner, particularly over its inner surface, ismade difficult by the liner's inability to maintain a tubular structurebecause of its thin-wall and flexibility requirements. The difficulty ofcoating the liner inner surface is further compounded by the inabilityof such a liner to maintain its tubular structure during curing ordrying of the coating material upon the liner inner surface.

Accordingly, there exists an un-met need for methods and devices tofacilitate the manufacturing and coating of thin-wall tubular liners.

BRIEF SUMMARY OF THE INVENTION

Overlying a linked shapelocking body is a liner or covering assemblyhaving an inner liner or layer, which extends through a main lumen ofthe linked body, and an outer liner or layer. The inner liner may extendfrom a distal tip and proximally through a handle assembly to terminateexternally of or at an entry lumen. The inner liner may typically bemade from a soft elastomeric and/or hydrophilic coated material, such assilicon or synthetic rubber. The inner liner extends through theelongate body lumen and can be coated, e.g., with a hydrophilicmaterial, to facilitate the passage of instruments, e.g., an endoscope,through the lumen over the inner liner by increasing the surfacelubricity and reducing its coefficient of friction to thereby reducefriction between the instrument and the inner surface of the innerliner, especially when a fluid such as water, saline, etc., is appliedto the hydrophilic material.

A method for coating and forming the flexible tubular inner liner maycomprise, in one example, coating at least a first surface of a flexibleelongate strip having a first and a second edge and then bringing thefirst and second edges of the flexible elongate strip into proximity ofone another. Once the edges are brought towards one another, they may bejoined such that a flexible tubular liner is formed having the coatedfirst surface formed as an inner surface of the flexible tubular liner.

One example for a manufacturing assembly process for coating and formingthe inner liner may comprise having a liner cartridge containing a rollof flat strip of liner material feed the flat strip through a number ofpinch rollers. As the flat strip is passed through assembly process, aninner liner surface may be coated with a hydrophilic material using,e.g., a coating sprayer, which sprays the coating through a nozzle ontothe liner surface. Other coating methods and devices may be utilized,such as dipping through a coating bath, etc.

Moreover, both surfaces of the strip may also be coated as well. Coatingthe outer surface of the tubular liner to be formed may additionallyfacilitate the loading of the inner liner through the shapelock lumen byreducing the frictional contact between the outer surface of the innerliner and the links of shapelock body without comprising the bending orflexible characteristics of the inner liner. The range of hydrophiliccoating materials dispensed upon the liner surface may include a numberof different hydrophilic materials, e.g., polyvinylpyrrolidone (PVP orPVNP), polyhydroxethylmethacrylate (PHEMA) hydrogels, polyvinylalcohol(PVA), polyethylene oxide (PEO), polycarboxylic acids (PCA),polymethyacrylic (PMMA), etc.

After the liner flat strip has been sprayed, dipped, or otherwisecoated, the flat strip continues through the assembly process where theapplied coating may be activated via a lamp, such as a heat orultraviolet lamp. The lamp may be directed to a single surface or toboth sides of the strip if coating material is present on both sides ofthe strip. Once the coating material is activated, the strip may becured at room temperature or it may be passed through an oven via anoven opening to cure or dry the coating material upon the strip anywherefrom several minutes to hours, depending upon the characteristics of thecoating material.

The flat strip exiting the oven having the hydrophilic coating materialthereupon may then be formed into its tubular structure by forming thestrip over a mandrel assembly. As the strip continues to be pulledthrough the assembly process, a series of rollers, e.g., bottom rollers,top roller, and side rollers, positioned to rotate adjacent to mandrelassembly brings the free side edges of the strip towards one anotherover the mandrel for joining. The top roller may compress or otherwisejoin the approximated edges together along a joined seam to produce aformed tubular liner having the desired coating characteristics. Oncethe tubular liner has been sufficiently drawn, it may be cut to lengthas desired.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 illustrates a shapelock assembly defining at least one lumentherethrough.

FIG. 2 illustrates an assembly view of an exposed elongate shapelockingbody and a liner assembly which may be disposed upon and within theelongate body.

FIGS. 3A and 3B show side and perspective schematic views, respectively,of an example for coating and forming a tubular liner from a flat stripof material.

FIG. 4 illustrates an example of a partial tubular liner formed andcoated from a flat strip.

FIGS. 5A to 5C show partial cross-sectional views of some illustrativeliner-forming examples respectively utilizing lap joints, butt joints,and adhesives.

FIG. 6 shows one variation of a mandrel fluidly coupled to a vacuumabout which the flexible tubular liner may be formed.

FIG. 7 shows another variation of a mandrel utilizing a longitudinalheating element, such as a wire, for adhering the free edges of thestrip to one another into a tubular liner.

FIG. 8 shows yet another variation utilizing a movable heating elementfor pressing against the edges of the strip.

FIG. 9 shows yet another variation utilizing a spraying nozzle or laserfor adhering the edges of the strip.

FIGS. 10A and 10B show side and perspective schematic views,respectively, of another example for coating and forming a tubular linerfrom a flat strip of material utilizing an adhesive strip for dispensingand adhering against the edges of the strip.

DETAILED DESCRIPTION OF THE INVENTION

Generally in use, an endoscope may be advanced into a patient's bodylumen, such as the lower gastro-intestinal tract via the anus or theupper gastro-intestinal tract via the patient's mouth. However, thetissue of the colon and small intestines are typically unsupported andadvancement through these body lumens is difficult. Furthermore, loopingof the tissue and unraveling of pleated tissue relative to the endoscopemakes endoscopic advancement particularly difficult. Accordingly,providing a stable platform through which the endoscope may beendoluminally advanced may facilitate the endoluminal manipulation ofthe endoscope and examination of the tissue.

An example of a stable endoluminal platform device is shown in shapelockassembly 10 in FIG. 1. Shapelock assembly 10 may generally comprise anelongate body 12 which defines at least one lumen 18 therethrough foradvancement of an endoscope or other endoscopic instrumentstherethrough. A distal tip 16, which may be configured into anatraumatic shape, may be positioned near or at the distal end 14 ofelongate body 12. Handle assembly 20 may be coupled to a proximal end ofelongate body 12.

Handle assembly 20 may be comprised generally of handle body 22 andlocking handle 24 which may be configured to actuate one or more cablesrouted throughout elongate body 12 such that a plurality of nestedlinks, in part comprising body 12 and as described

below in further detail, are compressed against one another totransition elongate body 12 from a flexible state to a rigidshape-locked state. Once in its shape-locked condition, elongate body 12maintains any configuration in a rigid manner. Release of locking handle24 relative to handle body 22 releases elongate body 12 to transitionback into a flexible body to conform into another configuration.

Locking handle 24 may be rotatably coupled to handle body 22 via pivot26 such that rotation of locking handle 24 in the direction shown inFIG. 1 against handle body 22 may actuate the shape-locking feature ofelongate body 12. However, any number of actuation mechanisms asgenerally known may also be utilized. Handle body 22 may also define inits

proximal end an entry lumen 28 which extends through handle assembly 20and elongate 10 body 12. The proximal end of elongate body 12 may becoupled or otherwise attached to handle assembly 20 at handle interface30. As mentioned above, an endoscope or any number of endoscopicinstruments may be advanced into and through entry lumen 28 and elongatebody 12 to effect treatment through assembly 10. Further details andexamples of shape-locking elongate bodies are disclosed in U.S. patentapplication Ser. No. 10/281,462 filed Oct. 25, 2002 (U.S. Pat. Pub. No.2003/0233066 A1), which is incorporated herein by reference in itsentirety.

As mentioned above and as shown in FIG. 2, the shape-locking elongatebody 12 is generally comprised of an underlying body 32 having aplurality of nested links 34 which are slidable relative to one another.Each link 34 may define one or more openings therethrough 20 such thatthe stacked links 34 collectively form lumen 18 through the length ofthe device. The terminal link 36 positioned near or at the distal end ofthe link body 32 may anchor one or several control wires which arerouted through the length of body 32. Overlying the linked body 32 is aliner or covering assembly 38. An inner liner or layer 42 may typicallycomprises a soft elastomeric and/or hydrophilic coated material, such assilicon or synthetic rubber, and extends through lumen 18 of nestablelinks 34 to a liner for the lumen 18. Inner liner 42 may extend fromdistal tip 16 and proximally through handle assembly 20 to terminateexternally of or at entry lumen 28.

An outer liner 40, which may be formed into a flexible elastomericcovering, may also extend from distal tip 16 over inner liner 42 suchthat outer and inner liners 40, 42 may be integrally formed with oneanother in attachment 44 at distal tip 16. When inner liner 42 ispositioned within lumen 18 and outer liner 40 is disposed over body 32to encapsulate the links 34, the proximal end of outer liner 40 may beconnected or otherwise attached, e.g., via a temporary mechanicalconnection. via handle locking interface 46 at the proximal end of outerliner 40 to handle interface 30. Outer liner 40. when disposed overlinks 34. provides a relatively smooth outer surface for elongate body12 and aids in preventing tissue from being captured or pinched duringrelative rotation of adjacent nestable links 34. Further examples anddescriptions of the liner assembly 38 and its positioning upon theshapelocking assembly may be seen in further detail in U.S. patentapplication Ser. No. 11/115,947 filed Apr. 26, 2005, which isincorporated herein by reference in its entirety.

As previously mentioned, inner liner 42 extends through lumen 18 and canbe coated. e.g.•with a hydrophilic material, to facilitate the passageof instruments, e.g., an endoscope, through lumen 18 over inner liner 42by increasing the surface lubricity and reducing its coefficient offriction to thereby reduce friction between the instrument and the innersurface of inner liner 42, especially when a fluid such as water.saline, etc., is applied to the hydrophilic material. The inner liner 42wall thickness may typically range between 0.15 mm to 0.40 mm and theinner liner inner diameter may typically range between 4 mm to over 15mm to accommodate various size instruments passed therethrough. An innerliner 42 may be extruded directly into its tubular structure but due tothe thin-wall and flexible nature of the liner material, applying ahydrophilic coating having a thickness of less than 0.025 mm onto, e.g.,the inner surface of inner liner 42, is difficult.

Accordingly, a flattened strip may be first dipped. sprayed. orotherwise coated with the hydrophilic material and then rolled ormanipulated into a tubular structure to form the inner liner 42. Oncethe coated inner liner 42 has been formed, it may be cut to anappropriate length and joined with the outer liner 40 to form the linerassembly 38 for use with shapelock assembly 10.

One example for a manufacturing assembly process 50 for coating andforming the inner liner may be seen in the schematic side andperspective illustrations of FIGS. 3A and 3B. respectively. A linercartridge 48 containing a roll of flat strip of liner material may feeda flat strip 52 of liner material through a number of pinch rollers 60.As the flat strip 52 is passed through assembly process 50, an innerliner surface 54 may be coated with a hydrophilic material using, e.g.•acoating sprayer 62. which sprays the coating through a nozzle 64 ontothe liner surface 54. Although a sprayer 62 is illustrated dispensingmaterial on a single surface of the flat strip 52. other coating methodsand devices may be utilized such as dipping through a coating bath, etc.

Moreover, although the example illustrates coating on a single surfaceof flat strip 52, both surfaces of the strip 52 may also be coated aswell. Coating the outer surface of the tubular liner to be formed mayadditionally facilitate the loading of the inner liner 42 through theshapelock lumen 18 by reducing the frictional contact between the outersurface of inner liner 42 and the links of shapelock body 32 withoutcomprising the bending or flexible characteristics of inner liner 42.The range of hydrophilic coating materials dispensed upon liner surface54 may include a number of different hydrophilic materials, e.g.,polyvinylpyrrolidone (PVP or PVNP), polyhydroxethylmethacrylate (PHEMA)hydrogels, polyvinylalcohol (PVA), polyethylene oxide (PEO),polycarboxylic acids (peA), polymethyacrylic (PMMA), etc.

After the liner flat strip 52 has been sprayed, dipped, or otherwisecoated, the flat strip 52 continues through the assembly process 50where the applied coating may be activated via a lamp 66, such as a heator ultraviolet lamp. Lamp 66 may be directed to a single surface 54 orto both sides of strip 52 if coating material is present on both sidesof strip 52. Once the coating material is activated, strip 52 may becured at room temperature or it may be passed through oven 68 via ovenopening 70 to cure or dry the coating material upon strip 52 anywherefrom several minutes to hours, depending upon the characteristics of thecoating material.

The flat strip 52 exiting oven 68 having the hydrophilic coatingmaterial thereupon may then be formed into its tubular structure byforming the strip 52 over a mandrel assembly 78. As strip 52 continuesto be pulled through assembly process 50, a series of rollers, e.g.,bottom rollers 72, top roller 74, and side rollers 76, positioned torotate adjacent to mandrel assembly 78 brings the free side edges ofstrip 52 towards one another over mandrel 78 for joining. Top roller 74may compress or otherwise join the approximated edges together along ajoined seam 58 to produce a formed tubular liner 56 having the desiredcoating characteristics. Once tubular liner 56 has been sufficientlydrawn, it may be cut to length as desired.

FIG. 4 shows an illustrative view of a partially formed tubular liner 56which has been joined along seam 58. The transition from flat strip 52to tubular liner 56 may be seen where the free edges of strip 52 havebeen approximated towards one another and joined along seam 58. Asshown, the coated surface 54 of flat strip 52 may become the innersurface of tubular liner 56.

FIGS. 5A to 5C show a partial cross-sectional detail view of variousexamples for joining the edges of strip 52 along seam 58. FIG. 5A showsa variation where the edges of tubular liner 56 may be joined in a lapjoint 58′ by applying an adhesive between the edges of the joint 58′ orby thermally fusing the edges to one another. FIG. 5B shows anothervariation where the edges of tubular liner 56 may be attached to oneanother in a butt joint 58″ again utilizing an adhesive or by thermallyfusing the edges. In yet another variation, the edges of tubular liner56 may be attached to one another via a film or tape 58′″ overlying thefree edges, e.g., a polymeric adhesive film such as Kapton® (DuPont,Circleville, Ohio). Although these examples illustrate specific types ofjoints or seams, these are intended to be illustrative of the types ofjoining mechanisms and are intended to include any number of other knownmethods.

In creating a seam 58 joining the free edges of flat strip 52 intotubular liner 56, different methods may be employed. In one variation,mandrel assembly 78 may have an elongate member 80 about which flatstrip 52 is formed about, as shown in FIG. 6. The elongate member 80 mayhave an optionally tapered distal end to prevent tearing or nicking oftubular liner 56 against member 80 and it may also optionally define oneor more openings 82 over its surface. Openings 82 may be in fluidcommunication through a common channel defined through elongate member80 and fluidly coupled to a vacuum source (not shown) which may be usedto draw the flat strip 52 directly against the outer surface of elongatemember 80 so as to securely hold or maintain a position of the freeedges of flat strip 52 relative to one another when forming seam 58.

In a variation for forming seam 58, a heating wire or strip 84 may beintegrated or positioned along a top portion of elongate member 80 suchthat the free edges of flat strip 52 are brought into proximity to ordirectly upon heating wire or strip 84, as shown in FIG. 7. Heating wireor strip 84 may be made from a variety of electrically resistivematerials, e.g., nichrome, steel, platinum, etc., which are insulatedfrom the underlying elongate member 80. With strip 52 held againstelongate member 80, e.g., via a vacuum created through openings 82,heating wire or strip 84 may be energized to melt or fuse the free edgesinto seam 58 to form tubular liner 56. The flat strip 52 and theassembly process may be halted intermittently to allow the formation ofseam 58; alternatively, tubular liner 56 may be urged continuously alongthe elongate member 80 while simultaneously forming seam 58 withouthaving to halt the assembly process.

Mandrel assembly 78′ may be fabricated from a variety of materials,e.g., metals such as stainless steel, aluminum, etc., or ceramics toprovide for electrical or thermal insulation for applications where seam58 is thermally formed. Another variation for thermally bonding orfusing strip 52 into tubular liner 56 is shown in FIG. 8 where a heatingassembly 86 may be positioned adjacent to elongate member 80 for formingseam 58. Heating assembly 86 may have a heating/compression pad or strip88 positioned directly above elongate member 80. As strip 52 passesbetween elongate member 80 and heating assembly 86, heating/compressionstrip 88 may be heated to fuse the underlying strip 52 into seam 58.Alternatively, heating assembly 86 may be moved into direct contacttemporarily against the edges of strip 52 to heat and compress the strip52.

In yet another variation, a laser 90 may be positioned above elongatemember 80 such that a beam of light 92 is directed against strip 52 tofuse seam 58, as shown in FIG. 9. Alternatively, a spraying nozzle maybe positioned in place of laser 90 to direct a stream or spray ofadhesive to fuse seam 58.

Yet another variation is shown in the schematic side and perspectiveillustrations of FIGS. 10A and 10B, respectively, which is similar tothat shown in FIGS. 3A and 3B above. However, this variation shows anexample of an integrated roll of film or tape 100, e.g., a polymericadhesive film such as Kapton® as described-above, which may be applieddirectly to the free edges of strip 52 automatically by roller 74 toform tubular liner 56. Also shown is an illustrative cutting blade 102which may be located at a distal position to sever the formed

tubular liner 56 at desired lengths. The cutting blade 102 may beintegrated with the assembly process 50 to be fully automated ormanually operable. Moreover, cutting blade 102 is merely intended to beillustrative of a cutting or severing mechanism and may formed into anynumber of cutting mechanisms. Furthermore, although cutting blade 102 isillustrated in this variation, cutting blade 102 may be integrated inany of the above-described processes.

Although various illustrative variations are described above, it will beevident to one skilled in the art that a variety of combinations ofaspects of different variations, changes, and modifications are withinthe scope of the invention. It is intended in the appended claims tocover all such combinations, changes, and modifications.

1. An apparatus having a liner assembly prepared by a process comprisingthe steps of: coating at least a first surface of a flexible elongatestrip having first and second edges; bringing the first and second edgesof the flexible elongate strip into proximity of one another; joiningthe first and second edges such that a flexible tubular liner is formedhaving the coated first surface formed as an inner surface of theflexible tubular liner; joining said flexible tubular liner with agenerally tubular outer sheath to form a liner assembly; and installingthe liner assembly onto an elongate body having a tubular shape definingan internal lumen, wherein the tubular liner extends within the internallumen and the outer sheath extends over an external surface of theelongate body.
 2. The apparatus having a liner assembly prepared by theprocess comprising the steps of claim 1, wherein coating furthercomprises coating a second surface of the flexible elongate strip. 3.The apparatus having a liner assembly prepared by the process comprisingthe steps of claim 1, wherein coating comprises applying a hydrophilicmaterial upon at least the first surface.
 4. The apparatus having aliner assembly prepared by the process comprising the steps of claim 3,wherein applying comprises spraying or dip-coating the hydrophilicmaterial upon at least the first surface.
 5. The apparatus having aliner assembly prepared by the process comprising the steps of claim 1,further comprising irradiating the flexible elongate strip prior tobringing the first and second edges.
 6. The apparatus having a linerassembly prepared by the process comprising the steps of claim 5,wherein irradiating comprising irradiating the flexible elongate stripwith ultraviolet light.
 7. The apparatus having a liner assemblyprepared by the process comprising the steps of claim 1, furthercomprising heating the flexible elongate strip prior to joining thefirst and second edges.
 8. The apparatus having a liner assemblyprepared by the process comprising the steps of claim 1, whereinbringing the first and second edges comprises drawing the first andsecond edges over a mandrel such that the flexible elongate striptransitions into a tubular form.
 9. The apparatus having a linerassembly prepared by the process comprising the steps of claim 8,further comprising applying a vacuum to the flexible elongate strip tostabilize the first and second edges relative to the mandrel.
 10. Theapparatus having a liner assembly prepared by the process comprising thesteps of claim 1, wherein joining comprises fusing the first and secondedges in a lap or butt joint.
 11. The apparatus having a liner assemblyprepared by the process comprising the steps of claim 1, wherein joiningcomprises applying an adhesive film to the first and second edges. 12.The apparatus having a liner assembly prepared by the process comprisingthe steps of claim 1, wherein joining comprises fusing a portion of thefirst and second edges to one another by applying heat to the portion.13. The apparatus having a liner assembly prepared by the processcomprising the steps of claim 1, further comprising cutting the formedflexible tubular liner to length.
 14. An apparatus having a linerassembly prepared by a process comprising the steps of: coating at leasta first surface of a flexible elongate strip having first and secondedges with a hydrophilic material; irradiating the flexible elongatestrip; drying the flexible elongate strip; bringing the first and secondedges of the flexible elongate strip into proximity of one another;joining the first and second edges such that a flexible tubular liner isformed having the coated first surface formed as an inner surface of theflexible tubular liner; and joining said flexible tubular liner with agenerally tubular outer sheath to form a liner assembly; and installingthe liner assembly onto an elongate body having a tubular shape definingan internal lumen, wherein the tubular liner extends within the internallumen and the outer sheath extends over an external surface of theelongate body.
 15. The apparatus having a liner assembly prepared by theprocess comprising the steps of claim 14, wherein coating furthercomprises coating a second surface of the flexible elongate strip. 16.The apparatus having a liner assembly prepared by the process comprisingthe steps of claim 14, wherein coating comprises spraying or dip-coatingthe hydrophilic material upon at least the first surface.
 17. Theapparatus having a liner assembly prepared by the process comprising thesteps of claim 14, wherein irradiating comprises irradiating theflexible elongate strip with ultraviolet light.
 18. The apparatus havinga liner assembly prepared by the process comprising the steps of claim14, wherein drying comprises passing the flexible elongate strip throughan oven.
 19. The apparatus having a liner assembly prepared by theprocess comprising the steps of claim 14, wherein bringing the first andsecond edges comprises drawing the first and second edges over a mandrelsuch that the flexible elongate strip transitions into a tubular form.20. The apparatus having a liner assembly prepared by the processcomprising the steps of claim 19, further comprising applying a vacuumto the flexible elongate strip to stabilize the first and second edgesrelative to the mandrel.
 21. The apparatus having a liner assemblyprepared by the process comprising the steps of claim 14, whereinjoining comprises fusing the first and second edges in a lap or buttjoint.
 22. The apparatus having a liner assembly prepared by the processcomprising the steps of claim 14, wherein joining comprises applying anadhesive film to the first and second edges.
 23. The apparatus having aliner assembly prepared by the process comprising the steps of claim 14,wherein joining comprises fusing a portion of the first and second edgesto one another by applying heat to the portion.
 24. The apparatus havinga liner assembly prepared by the process comprising the steps of claim14, further comprising cutting the formed flexible tubular liner tolength.